06D1054435 CLIA NUMBER - GUARDIAN ANGEL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 06D1054435
  • Facility Name: GUARDIAN ANGEL HOME HEALTH
  • Facility Address: 925 S BROADWAY #286
    CORTEZ, CO
    ZIP 81321
  • Facility Phone: 970 565-7134
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DIANA C. OHARA
  • NPI Number: 1619003894
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 06D1054435
LAB Type Home Health Agency
Facility Name GUARDIAN ANGEL HOME HEALTH
Street 925 S BROADWAY #286
City CORTEZ
State CO
ZIP 81321
Phone 970 565-7134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Home Health Agency
Lab Director DIANA C. OHARA

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This page was last updated on: 9/29/2025